Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Facility		$27.99	$27.99	$27.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $28.26 / $35.26	Professional		$27.99	$28.26	$35.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $33.54	Facility		$33.54	$33.54	$33.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $27.99 / $31.73	Professional		$25.39	$27.99	$31.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $48.37 / $78.42	Facility		$28.62	$48.37	$78.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $31.86 / $109.60	Professional		$28.62	$31.86	$109.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $29.92 / $64.56	Facility		$24.66	$29.92	$64.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $34.34 / $64.56	Professional		$29.92	$34.34	$64.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $25.90 / $25.90	Professional		$25.90	$25.90	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $33.31	Professional		$27.99	$27.99	$33.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.62 / $28.62 / $28.62	Facility		$28.62	$28.62	$28.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $28.62 / $28.62	Professional		$28.62	$28.62	$28.62